- Catholic Health (Buffalo, NY)
- …The Healthcare Analyst II will be responsible for analyzing health care electronic medical record and claims data in order to track and trend health ... care utilization and quality of care for the population health business model. This responsibility requires that the analyst...internal customers. The reports will be used to monitor health care quality and utilization within the CMP network… more
- Catholic Health (Buffalo, NY)
- …will be responsible for compiling, formatting, maintaining and analyzing health care electronic medical record and claims data in order to track and trend ... care utilization and quality of care for the population health business model. This responsibility requires that the analyst...internal customers. The reports will be used to monitor health care quality and utilization within the CMP network… more
- Elevance Health (VA)
- …to provide non-clinical review and analysis of all complex Tier I post service medical claims . **How you will make an impact:** + Utilizes guidelines and ... review tools to analyze assigned claims and medical records to either approve...$36.46. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- TEKsystems (West Des Moines, IA)
- …stakeholders for effective resolution. Qualifications + 3+ Years of Occupational Health Medical Billing and Collections Experience + High School ... the full revenue cycle and be comfortable navigating complex claims processes using multiple data sources. **CANDIDATES MUST RESIDE...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Elevance Health (Indianapolis, IN)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Sharp HealthCare (San Diego, CA)
- …for identifying Potential Quality Issues. + Supervises Physician Reviewer(s) and Medical Directors including Behavioral Health Medical Directors.Shares ... Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians ( Medical Directors (both medical and… more
- Hologic (Marlborough, MA)
- …imaging, and/or breast cancer or cancer screening (preferred). + Proficiency in analyzing medical insurance claims and electronic health records. **Skills ... liaison activities. + Expertise in evaluating scientific literature, payer policies, health technology assessments, and medical guidelines. + Knowledge of… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …billing purposes ensuring eligibility and referring questionable coding for review; Submitting claims to third party health insurance carriers, with knowledge of ... the appropriateness of administrative data; verification of insurance coverage for medical services; verifying claims for billing purposes.This experience must… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... (Athenahealth, eCW, Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities + Submit… more
- New York State Civil Service (Oxford, NY)
- …220 City Oxford State NY Zip Code 13830 Duties Description Will perform medical billing and claims processing, including payment, coordination or subrogation of ... NY HELP Yes Agency Health , Department of Title Office Assistant 2 (Calculations)...benefits. Review claims for eligibility and explains coverage amounts and benefit… more